Individual
THIENNGA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6461 E BAYWOOD AVE, MESA, AZ 85206-1744
(480) 832-5160
Mailing address
PO BOX 39334, PHOENIX, AZ 85069-9334
(602) 424-7967
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
227053
AZ
363LA2100X
Acute Care Nurse Practitioner
227053
AZ
363LA2200X
Adult Health Nurse Practitioner
227053
AZ
363LG0600X
Gerontology Nurse Practitioner
227053
AZ
Other
Enumeration date
07/22/2019
Last updated
12/07/2019
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